Provider Demographics
NPI:1518988708
Name:FREIMAN, JOAN P (MSW)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:P
Last Name:FREIMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 HOPKINS RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04574-3239
Mailing Address - Country:US
Mailing Address - Phone:207-845-2544
Mailing Address - Fax:
Practice Address - Street 1:18 MAPLE ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-2916
Practice Address - Country:US
Practice Address - Phone:207-594-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELCSW5121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM4555Medicare ID - Type Unspecified